Just a Game: the Dangers of Quantifying Medical Student Professionalism
A medical student on her internal medicine clerkship says her numerical medical professionalism grade was “just a game.” Building on this anecdote, we suggest there is good reason to believe that numerical summative assessments of medical student professionalism can, paradoxically, undermine medical student professionalism by sapping internal motivation and converting conversations about core professional values into just another hurdle to residency. We suggest better ways of supporting medical student professional development, including a portfolio comprised of written personal reflection and periodic 360° formative assessment in the context of longitudinal faculty coaching.
KEY WORDSprofessionalism education medical disincentives
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they do not have a conflict of interest.
- 6.Doucleff M. A Lost Secret: How To Get Kids To Pay Attention. National Public Radio; 2018.Google Scholar
- 19.Bryden P, Ginsburg S, Kurabi B, Ahmed N. Professing professionalism: are we our own worst enemy? Faculty members’ experiences of teaching and evaluating professionalism in medical education at one school. Acad Med. 2010;85(6):1025–34. https://doi.org/10.1097/ACM.0b013e3181ce64ae CrossRefPubMedGoogle Scholar
- 30.Ziring D, Danoff D, Grosseman S, Langer D, Esposito A, Jan MK, et al. How Do Medical Schools Identify and Remediate Professionalism Lapses in Medical Students? A Study of U.S. and Canadian Medical Schools. Acad Med. 2015;90(7):913–20. https://doi.org/10.1097/ACM.0000000000000737 CrossRefPubMedGoogle Scholar